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HHS/CMS RIN: 0938-AQ27 Publication ID: Fall 2011 
Title: End-Stage Renal Disease Prospective Payment System for CY 2012, Quality Incentive Program for PY 2013 and PY 2014; Ambulance Fee Schedule; and Durable Medical Equipment (CMS-1577-F) 
Abstract: This major rule updates the bundled payment system for End Stage Renal Disease (ESRD) facilities by January 1, 2012, as required by MIPPA. The rule also updates the Quality Incentives in the ESRD Program. In addition, this rule revises the ambulance fee schedule regulations to conform with statutory changes. Finally, this rule revises the definition of durable medical equipment (DME) by adding a 3-year minimum lifetime criterion that must be met by an item or device in order to be considered durable for the purpose of classifying the item under the Medicare benefit category for DME. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
EO 13771 Designation: uncollected 
CFR Citation: 42 CFR 410    42 CFR 413    42 CFR 414   
Legal Authority: sec 1881 of the Social Security Act    MIPPA sec 153(c), MMEA   
Legal Deadline:
Action Source Description Date
Final  Statutory    11/01/2011 
Action Date FR Cite
NPRM  07/08/2011  76 FR 40498   
NPRM Comment Period End  08/30/2011    
Final Action  11/10/2011  76 FR 70228   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Janet Samen
Director, Division of Chronic Care Management
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mail Stop C5-05-27, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4533